Healthcare Provider Details

I. General information

NPI: 1841820594
Provider Name (Legal Business Name): DR. KATHRYN LEWANDOWSKI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2020
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1931 JESSE JEWELL PKWY SE
GAINESVILLE GA
30501-2519
US

IV. Provider business mailing address

1931 JESSE JEWELL PKWY SE
GAINESVILLE GA
30501-2519
US

V. Phone/Fax

Practice location:
  • Phone: 770-985-3792
  • Fax: 770-985-5285
Mailing address:
  • Phone: 770-985-3792
  • Fax: 770-985-5285

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberRPH024245
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: